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KHOA DANG PHAM
NPI 1972362333
Student in an Organized Health Care Education/Training Program in Vancouver, WA

Active since March 18, 2024PECOS Enrolled
2211 NE 139TH ST, VANCOUVER, WA 98686(360) 990-1199(360) 604-1604 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Khoa Dang Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHOA DANG PHAM (NPI 1972362333) is an individual student in an organized health care education/training program in Vancouver, Washington and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972362333
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKHOA DANG PHAM
Location Address2211 NE 139TH STVancouver, WA 98686-2742
Mailing Address2211 Ne 139th StVancouver, WA 98686-2742 · (360) 397-1985
Phone(360) 990-1199
Fax(360) 604-1604
Sole ProprietorNo
Enumeration DateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1972362333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2211 NE 139TH ST, Vancouver, WA 98686
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khoa Dang Pham is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NATALIA SAYURI MUTO MD
Student in an Organized Health Care Education/Training Program
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 397-1985
DR. ERIN MEADOWS MD
Emergency Medicine
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (559) 250-7564
PHILLIP M CULLISON BONNER MD
Internal Medicine
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 487-1000
JUSTIN LYLE SICHULA MD
Internal Medicine
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 487-1168
KRYSTAL NGUYEN DO
Student in an Organized Health Care Education/Training Program
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 397-1985
MEGUMI S KETCHAM M.D.
Emergency Medicine
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 487-1000
QUYNH T TRAN DO
Internal Medicine
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (503) 374-1864
BRENDA CAROL SCHRADER
Registered Nurse (Registered Nurse First Assistant)
2211 NE 139TH ST
VANCOUVER, WA 98686
Clark County (360) 487-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khoa Pham's NPI number?

The NPI number for Khoa Pham is 1972362333. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Where is Khoa Pham located?

Khoa Pham practices at 2211 NE 139th St, Vancouver, WA 98686. The listed phone number is (360) 990-1199.

What is Khoa Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Khoa Pham enrolled in Medicare?

Yes. Khoa Pham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Khoa Pham was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.